This is a machine embroidery design. Digital Download OnlyFits the 4 x 4 HoopFormats include: PES, HUS, JEF, VIP, VP3, EXP, XXX DSTTerms of Use for this are listed in the Terms Section.Image shows what it looks like stitched out.The image with the Toilet Paper are examples only, the designs do not come with purchase nor does the Toilet Paper. Digital Download only